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Effects of shortened hospital stay on perioperative nursing care for patients undergoing surgery

缩短住院时间对手术患者围手术期护理的影响

基本信息

批准号：
18592372
负责人：
TAKASHIMA Naomi
金额：
$ 1.43万
依托单位：
Yokohama City University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2006
资助国家：
日本
起止时间：
2006 至 2007
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-18592372/
关键词：
perioperative nursing shortened hospital stay patients education day surgery 看護管理

项目摘要

In 2006, the symptoms and self-reported measures of 601 patients who underwent same-day surgery (the shortest hospital stay) and the results of the 2006 survey on the awareness of information related to postoperative self-care were analyzed. The results showed that just under 30% of patients experienced relatively severe pain, but they did not actively seek help and had a "wait-and-see" attitude. About 10% of the patients felt that they did not have the necessary information about postoperative recovery or lifestyle, and this showed a significant correlation with the overall assessment, the number of days to recovery, and the onset of symptoms. In order to support patient self-care, it is important to provide the necessary information and control their symptoms.In 2007, In order to ascertain the current state of nursing care and patient recovery due to shortened hospital stay in general wards, patients who were discharged after undergoing surgery for gastric cancer were interviewed. A … More survey was also conducted of nursing managers of gastrointestinal surgery outpatient clinics and wards at 745 centers with at least 300 beds to determine the effects of shortened hospital stay on nursing and develop solutions. The rate of response was 42.4% (n=316) for outpatient clinics and 38.9% (n=290) for wards. The length of preoperative hospital stay ranged from 0 to 4 days, and the average length of postoperative hospital stay was mostly in the range from 10 to 14 days and average length of hospital stay was 16.16±4.3. Shortened hospital stay is advantageous for improving economic efficiency, assisting patient independence, and standardizing nursing care. However, shortened hospital stay has increased the workload of nurses and exacerbated postoperative patient anxiety, and highlights the lack of self-care and increased burden on families; there were regional differences in the results. Patients who underwent surgery for gastric cancer stated that they were worried about eating and reduced physical strength, and there were individual differences in postoperative recovery and the length of hospital stay.The results of the present survey showed that, in Japan, the length of hospital stay is getting shorter, and from the viewpoint of nurses, shortened hospital stay has increased their workload because of a higher patient turnover rate, and it has made it difficult for them to form relationships and support patient self-care. To address these issues, various attempts have been made to improve intra-hospital and community collaboration, use clinical paths, and develop patient education programs. The present study gathered concrete data that can be used to develop high-quality perioperative nursing that can be implemented in a short period of time in clinical settings. Less

对2006年601例住院时间最短的同日手术患者的症状、自述情况及2006年术后自我护理相关信息知晓率的调查结果进行分析。结果显示，略低于30%的患者经历了相对剧烈的疼痛，但他们没有积极寻求帮助，并持“观望”态度。约10%的患者认为他们没有关于术后恢复或生活方式的必要信息，这与总体评估、恢复天数和症状出现时间显著相关。为了支持患者的自我护理，提供必要的信息并控制他们的症状是很重要的。2007年，为了了解由于普通病房住院时间缩短而导致的护理现状和患者的康复情况，对胃癌手术后出院的患者进行了访谈。A…此外，还对745个中心的胃肠外科门诊和病房的护理经理进行了更多的调查，这些中心至少有300张床位，以确定缩短住院时间对护理的影响并制定解决方案。门诊有效率为42.4%(n=316)，病房有效率为38.9%(n=290)。术前住院时间为0~4d，术后平均住院时间为10~14d，平均住院时间为16.16±4.3天。缩短住院日有利于提高经济效益，有利于患者自主，有利于规范护理。然而，住院时间的缩短增加了护士的工作量，加剧了术后患者的焦虑，并突出了自我护理的缺乏和家庭负担的增加；结果存在地区差异。接受胃癌手术的患者表示，他们担心饮食和体力下降，术后恢复和住院时间存在个体差异。调查结果显示，在日本，住院时间越来越短，从护士的角度来看，由于患者离职率较高，住院时间缩短增加了他们的工作量，使他们难以建立关系，支持患者自我护理。为了解决这些问题，已经进行了各种尝试，以改善医院内和社区合作，使用临床路径，并发展患者教育计划。本研究收集了可用于开发高质量的围手术期护理的具体数据，这些护理可在短时间内在临床环境中实施。较少